Home / Resources / Test Your Knowledge / Diabetes Therapy Titration Guidelines

Diabetes Therapy Titration Guidelines

May 13, 2017

According to the American Diabetes Association's (ADA's) guidelines, how often should you intensify therapy for patients with diabetes who have not reached their A1C goal?


Correct Answer: B. Every 3 months

Explanation:  At diagnosis, physicians should recommend therapeutic lifestyle changes and metformin to all patients, with the exception of those with contraindications or intolerances to the medication. Therapy should then be intensified every 3 months if the patient has not reached his or her A1C goal. The ADA's algorithm is as follows: a second oral agent should be added at 3 months, a third oral agent or an injection should be added at 6 months, and all patients should be receiving insulin by 1 year if they are not at goal.

ADA. Diabetes Care. 2017;40(Suppl 1):S1-S135.